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Studies examine Third Eye Retroscope during colonoscopy
Date:3/18/2010

gh the transverse colon). The mean size of adenomas detected with the TER was 5.2 mm (range 2󈝸 mm) compared with 4.4 mm (range 1󈝻 mm) for adenomas detected with the colonoscope. Of the 15 adenomas detected with the TER, 53.3 percent were 6 mm or larger and 20 percent were 10 mm or larger. Of the 136 adenomas detected with the colonoscope, 23.5 percent were 6 mm or larger and 6.6 percent were 10 mm or larger. The TER allowed detection of 25 percent additional adenomas 6 mm or larger and 33.3 percent additional adenomas 10 mm or larger.

The authors concluded that the results suggest a potential role for a retroflexed view during colonoscopy withdrawal. Additional study of the impact of this specific device on colonoscopy is warranted.

"Impact of experience with a retrograde-viewing device on adenoma detection rates and withdrawal times during colonoscopy: the Third Eye Retroscope study group"

This study was designed to evaluate whether there is a learning curve for the TER in terms of both polyp detection and procedure time. This was an open-label, prospective, multicenter study at nine U.S. sites, involving 298 patients (men and women, mean age 56.8 years) presenting for colonoscopy, evaluating the use of the TER in combination with a standard colonoscope. Fifteen experienced endoscopists who had no previous experience with the TER other than a training session with an anatomical model, participated in the study.

The TER was inserted through the channel, much as one would insert a polypectomy snare or biopsy forceps. During withdrawal, the forward and retrograde video images were observed simultaneously side by side on a wide-screen monitor. When a polyp was seen, the endoscopist indicated whether it could have been seen with the colonoscope alone or whether it was found only because it was detected with the TER. When a polyp was seen both with the colonoscope and the TER, the colonoscope was credited with findin
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Contact: Anne Brownsey
abrownsey@asge.org
630-570-5635
American Society for Gastrointestinal Endoscopy
Source:Eurekalert

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